Greater Changes in Drug Burden Index (DBI) during Hospitalization and Increased 30-Day Readmission Rates among Older In-Hospital Fallers

Rafia S. Rasu; Walter Agbor-Bawa; Nahid J. Rianon

doi:10.1080/00185868.2020.1777916

Greater Changes in Drug Burden Index (DBI) during Hospitalization and Increased 30-Day Readmission Rates among Older In-Hospital Fallers

Rafia S. Rasu, Walter Agbor-Bawa, Nahid J. Rianon

Research output: Contribution to journal › Article › peer-review

2 Scopus citations

Abstract

A higher drug burden index (DBI) is known to be associated with pre-admission falls leading to hospitalization. We investigated whether a mean difference in DBI (ΔDBI) between the events of in-hospital falls and hospital admission was associated with 30-day readmission in 113 patients ≥50 years who fell during their hospital stays between 2007 and 2014. A greater ΔDBI (≥0.09) was positively associated with higher 30-day readmission rates (incident rate ratio: 2.02; 95% confidence interval: 1.49-2.74). An effort to keep DBI low may thus decrease 30-day readmissions for older in-hospital fallers.

Original language	English
Pages (from-to)	59-67
Number of pages	9
Journal	Hospital topics
Volume	98
Issue number	2
DOIs	https://doi.org/10.1080/00185868.2020.1777916
State	Published - 1 Apr 2020

Keywords

30-day readmission
Drug burden index
in-hospital fall
older patients

Access to Document

10.1080/00185868.2020.1777916

Cite this

@article{e087f7b155d343ba8a3bb052b6e56750,

title = "Greater Changes in Drug Burden Index (DBI) during Hospitalization and Increased 30-Day Readmission Rates among Older In-Hospital Fallers",

abstract = "A higher drug burden index (DBI) is known to be associated with pre-admission falls leading to hospitalization. We investigated whether a mean difference in DBI (ΔDBI) between the events of in-hospital falls and hospital admission was associated with 30-day readmission in 113 patients ≥50 years who fell during their hospital stays between 2007 and 2014. A greater ΔDBI (≥0.09) was positively associated with higher 30-day readmission rates (incident rate ratio: 2.02; 95% confidence interval: 1.49-2.74). An effort to keep DBI low may thus decrease 30-day readmissions for older in-hospital fallers.",

keywords = "30-day readmission, Drug burden index, in-hospital fall, older patients",

author = "Rasu, {Rafia S.} and Walter Agbor-Bawa and Rianon, {Nahid J.}",

year = "2020",

month = apr,

day = "1",

doi = "10.1080/00185868.2020.1777916",

language = "English",

volume = "98",

pages = "59--67",

journal = "Hospital topics",

issn = "0018-5868",

publisher = "Heldref Publications",

number = "2",

}

TY - JOUR

T1 - Greater Changes in Drug Burden Index (DBI) during Hospitalization and Increased 30-Day Readmission Rates among Older In-Hospital Fallers

AU - Rasu, Rafia S.

AU - Agbor-Bawa, Walter

AU - Rianon, Nahid J.

PY - 2020/4/1

Y1 - 2020/4/1

N2 - A higher drug burden index (DBI) is known to be associated with pre-admission falls leading to hospitalization. We investigated whether a mean difference in DBI (ΔDBI) between the events of in-hospital falls and hospital admission was associated with 30-day readmission in 113 patients ≥50 years who fell during their hospital stays between 2007 and 2014. A greater ΔDBI (≥0.09) was positively associated with higher 30-day readmission rates (incident rate ratio: 2.02; 95% confidence interval: 1.49-2.74). An effort to keep DBI low may thus decrease 30-day readmissions for older in-hospital fallers.

AB - A higher drug burden index (DBI) is known to be associated with pre-admission falls leading to hospitalization. We investigated whether a mean difference in DBI (ΔDBI) between the events of in-hospital falls and hospital admission was associated with 30-day readmission in 113 patients ≥50 years who fell during their hospital stays between 2007 and 2014. A greater ΔDBI (≥0.09) was positively associated with higher 30-day readmission rates (incident rate ratio: 2.02; 95% confidence interval: 1.49-2.74). An effort to keep DBI low may thus decrease 30-day readmissions for older in-hospital fallers.

KW - 30-day readmission

KW - Drug burden index

KW - in-hospital fall

KW - older patients

UR - http://www.scopus.com/inward/record.url?scp=85104218032&partnerID=8YFLogxK

U2 - 10.1080/00185868.2020.1777916

DO - 10.1080/00185868.2020.1777916

M3 - Article

C2 - 32543345

AN - SCOPUS:85104218032

SN - 0018-5868

VL - 98

SP - 59

EP - 67

JO - Hospital topics

JF - Hospital topics

IS - 2

ER -

Greater Changes in Drug Burden Index (DBI) during Hospitalization and Increased 30-Day Readmission Rates among Older In-Hospital Fallers

Abstract

Keywords

Access to Document

Other files and links

Fingerprint

Cite this